Loln County Nursing & Rehab
1145 East Cherry Street, PO Box 130, Troy MO 63379 · (636) 528-5712 · 84.55% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Loln County Nursing & Rehab is located in Troy, Missouri. The city has a total of 23,348 people. Our grading scheme was not very kind to this facility, as it received an overall rating of F. If you are not happy with this facility's poor overall grade, you may find your options to be limited in Troy. The city has just one other nursing home. Despite all this, one of the few highlights of this nursing home's report card is its impressive inspection grade. You can continue reading to find out about inspections and other category scores
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 90 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we gave this facility a poor overall grade, we awarded it a B for our inspections category. This was the result of the nursing home receiving a quality government inspection report this year. Our inspection scores weigh several factors included in a facility's inspection reports. One key criteria we weigh heavily is the quantity and severity of deficiencies. You should avoid places with too many severe deficiencies flagged. While this place had some minor dings on its report, it had zero severe deficiencies. Severe deficiencies are found in categories G through L. This means CMS did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A few minor deficiencies are not the end of the world.
Short-term Care Quality
Unfortunately, this nursing home's next best score was short-term care. Nevertheless, with a D in this category, it still performed relatively badly. In computing our short-term care grades, we look at a facility's levels of skilled nursing services, which includes registered nurses, physical therapists respiratory therapists and other licensed professionals. This rating is typically a fair measure of the facility's rehabilitation. In this nursing home's case, we found that it provides less physical therapist and registered nurse hours per resident than the average facility. Finally, we assessed the number of patients who were able to return to the community from this nursing home. This definitely wasn't a strength for this nursing home. We found that just 43.6 percent of this facility's residents returned home. At most facilities, around half of their residents are able to return home so this is well below average.
Long-term Care Quality
The next area we looked at is long-term care. This facility's was given a poor long-term care grade where it received a lowly F. Facilities that don't score well in long-term care often don't provide as much nursing care and also may be struggling in some of the areas of routine personal care we looked at. After considering the volume of care provided by aids and other staff, we next considered the nursing home's vaccination data. We were concerned by the fact that this facility vaccinated just 90.72165 percent of its residents for pneumonia. Lastly, we looked at its number of hospitalizations. We found that this nursing home had 2.14 hospitalizations per 1,000 long-term resident days. Unfortunately, this figure is also a cause for concern.
Nurse Quality
The last area we assessed was nursing. Unfortunately, we gave it an F for this category, which is a very poor grade. The nursing grade includes a number of factors. The most heavily weighted factor is the amount of time nurses spend with patients. With just 2.4 hours of nursing care per patient per day, this facility's nurse staffing levels were significantly below the national average. In addition to ranking below average in nursing hours per resident, this nursing home also had poor scores in the quality-based measures we looked at in determining our nursing ratings. We looked at the percentage of patients sustaining pressure ulcers and major falls. This nursing home was at approximately 1.5 times the national average in both of these metrics. This is likely a bad sign when you consider that many bed sores and falls are preventable with better nursing care. These scores pulled down this nursing home's nursing grade significantly.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Loln County Nursing & Rehab Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents that have had a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of patients that sustained a fall which resulted in serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure is an indication of the percent of long-term care patients who have sustained UTI's. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be difficult to compare between nursing homes due to facilities having varying reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients who were given antipsychotic medications. These drugs may be used to treat several medical conditions, including Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of patients who were prescribed antianxiety medications. Antianxiety drugs are given to patients suffering from depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percent of residents exhibiting symptoms of depression. Increased rates of depression could be a sign a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric is a measure of the percent of long-term patients who have received the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these vaccines critical to patient health.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term residents that needed additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Many in the industry argue this is a measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of residents that were able to retain mobility over time. Optimizing mobility is usually a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric is a measure of the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
Measures the number of rehospitalizations per thousand days of short-term resident care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percent of short-term care residents who saw functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better